What is the role of the oral and maxillofacial department in the preoperative management of patients awaiting cardiac operations?

Jenkins, Glyndwr; Holmes, A. Hillyard; Colman-Nally, J.; Mustafa, Shakir

doi:10.1016/j.bjoms.2015.02.013

Cited by 16 publications

(25 citation statements)

References 15 publications

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“…As a result, 41 studies met the inclusion criteria, and an additional three papers were included after checking the references of the relevant selected reviews and studies (see Table 1). 12–54…”

Section: Resultsmentioning

confidence: 99%

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The perioperative dental screening and management of patients undergoing cardiothoracic, vascular surgery and other cardiovascular invasive procedures: A systematic review

Cotti

Arrica

Lenarda

et al. 2017

Eur J Prev Cardiolog

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Background One controversial issue in the relationship between oral care and cardiovascular diseases is how and whether to manage oral infections prior to cardiovascular surgery or other cardiovascular invasive procedures. Design We designed a systematic review to assess the information available on three main questions. Is there an agreement on the need for dental evaluation and treatment before cardiovascular interventions? Are consistent clinical recommendations or protocols available? Is dental treatment prior to cardiovascular interventions effective? Methods A systematic electronic search of MEDLINE, Scopus and Web of Science was performed from the database inceptions up to 31 April 2016. Searches were performed using Boolean operators to combine medical subject headings and free text words. Because this review included a large, heterogeneous group of study designs and sources, the results were synthesised in a narrative approach. Results In total, 2447 studies were identified: 2099 (+241 duplicates) were excluded after screening; 107 were included for full-text assessment; 55 were excluded for not meeting the inclusion criteria; and 11 were not available. Thus, 44 studies meeting the inclusion criteria were analysed. We found that, for patients undergoing cardiovascular surgery, there is a general agreement on the need for screening and treatment of dental infections, but not on the protocols. We also found that there are conflicting indications on when and to what extent to perform the treatment and that the risk-to-benefit ratios for these treatments are controversial. Conclusion No satisfactory answers regarding dental care before cardiovascular invasive procedures are available.

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Section: Resultsmentioning

confidence: 99%

“…A rationale for screening and optimising dentition prior to elective cardiothoracic or vascular surgeries was discussed in 35 of the selected papers. 11–13,15–17,20,22–26,29,30,35–46,48,50,52,53…”

Section: Resultsmentioning

confidence: 99%

The perioperative dental screening and management of patients undergoing cardiothoracic, vascular surgery and other cardiovascular invasive procedures: A systematic review

Cotti

Arrica

Lenarda

et al. 2017

Eur J Prev Cardiolog

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show abstract

“…The most well-known and problematic CVD that may be caused by odontogenic foci and invasive dental treatments is IE [11]. Oral viridans group streptococci are implicated as causal microorganisms in 35% to 45% of IE cases [28].…”

Section: Association Between Dental Disease and Cardiovascular Diseasementioning

confidence: 99%

“…Therefore, the NICE guideline has recently been changed [31]. Importantly, excellent oral hygiene and regular dental evaluation are considered important to reduce the risk 7 of IE [11].…”

Section: Association Between Dental Disease and Cardiovascular Diseasementioning

confidence: 99%

“…A 2015 article by Jenkins et al entitled "What is the role of the oral and maxillofacial department in the preoperative management of patients awaiting cardiac operations?" [11] proposed a clinical pathway for dental treatment in patients awaiting cardiac surgery. That report especially focused on the risk of infectious endocarditis (IE) caused by dental disease and its subsequent treatment, while acknowledging the limitations of the evidence and available guidance regarding preoperative dental assessment in these patients.…”

Section: Introductionmentioning

confidence: 99%

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Perioperative intervention by oral medicine team in cardiovascular surgery patients

Akashi

Nanba

Kusumoto

et al. 2018

Gen Thorac Cardiovasc Surg

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In brief, perioperative oral intervention consists of elimination of odontogenic foci and maintenance of oral hygiene in patients undergoing surgery. The importance of oral intervention before, during, and after medical treatments is well known, especially in cancer patients, because odontogenic foci such as untreated deep dental caries or periodontitis can cause systemic infection in patients with myelosuppression resulting from chemotherapy. Although perioperative oral intervention is currently recommended for patients with cardiovascular disease, its efficacy in this population has not been established. This article consists of three sections: first, we review the current knowledge about the association between dental disease and cardiovascular disease to show the importance of oral hygiene maintenance and the risks of invasive dental procedures in patients with cardiovascular disease; second, we introduce pertinent but limited evidence concerning the effect of oral care in preventing postoperative pneumonia; and finally, we present the optimal strategy for perioperative oral intervention in cardiovascular surgery patients.

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Variation in UK Deanery publication rates in the British Journal of Oral and Maxillofacial Surgery: where are the current 'hot spots'?

Turner

Hammond

Goodson

2021

British Journal of Oral and Maxillofacial Surgery

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What is the role of the oral and maxillofacial department in the preoperative management of patients awaiting cardiac operations?

Cited by 16 publications

References 15 publications

The perioperative dental screening and management of patients undergoing cardiothoracic, vascular surgery and other cardiovascular invasive procedures: A systematic review

The perioperative dental screening and management of patients undergoing cardiothoracic, vascular surgery and other cardiovascular invasive procedures: A systematic review

Perioperative intervention by oral medicine team in cardiovascular surgery patients

Variation in UK Deanery publication rates in the British Journal of Oral and Maxillofacial Surgery: where are the current 'hot spots'?

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